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[Langerhans cell histiocytosis of the thyroid]
Abdellatif Oudidi1, Hicham Hachimi, Med Nourredine El Alami
1Service ORL, CHU Hassan II, Fès, Maroc. otorhino@hotmail.com
Introduction:
Langerhans cell histiocytosis, also known as histiocytosis X, has a broad clinical spectrum and highly variable prognosis. Its localization in the thyroid gland is relatively rare and presents particular diagnostic and therapeutic difficulties.
Case:
A 38-year-old man consulted for an anterior cervical mass that dated back to childhood but which had grown substantially in volume over the past seven months. The workup indicated a left thyroid nodule. We performed a thyroid lobectomy with isthmusectomy. Immunohistochemical and pathology analyses showed Langerhans cell histiocytosis of the thyroid. The immediate postoperative course and subsequent outcome were good (follow-up: 34 months).
Conclusion:
Diagnosis and treatment of Langerhans cell histiocytosis in the thyroid gland often require multidisciplinary cooperation to analyze clinical, radiological, and pathology findings.
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